Physician
KJ Medical Practice PC
KJ Medical Practice PC was paid $7.76M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoKJ MEDICAL PRACTICE PC
MONROE, NY 10950
MONROE, NY 10950
33aNPI1366739088assigned 07/01/2011
33bProvider typeEmergency Medicine Physician
28Total paid$7.76M
24GClaims316,279
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#20 of 2,113
Median peer was paid$5K
This provider vs. median1,711×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 54,961 | $1.19M | |
| 2019 | 59,360 | $1.25M | |
| 2020 | 33,760 | $802K | |
| 2021 | 46,269 | $1.35M | |
| 2022 | 45,813 | $1.33M | |
| 2023 | 43,014 | $1.07M | |
| 2024incomplete | 33,102 | $765K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 58,833 | 49,428 | $3.83M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.3% | 7,372 | 7,043 | $722K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 7,276 | 6,783 | $325K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 4.1% | 4,209 | 4,185 | $316K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 3.6% | 3,812 | 3,662 | $279K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 2,780 | 2,779 | $243K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.7% | 3,583 | 3,545 | $212K |
| 87070 | 2.7% | 25,845 | 23,253 | $208K | |
| 87184 | 2.1% | 25,200 | 22,709 | $164K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 9,612 | 4,612 | $138K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 31,728 | 28,535 | $125K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 3,024 | 2,841 | $121K |
56 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 2,783 | $118K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 2,274 | $107K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 1.2% | 3,812 | $93K |
| 99443 | 1.1% | 845 | $85K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 1,222 | $82K |
| 99051 | <1% | 14,052 | $75K | |
| 69210 | <1% | 1,709 | $67K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,536 | $59K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 956 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 592 | $41K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 307 | $41K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,185 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,088 | $40K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 737 | $38K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,464 | $29K |
| 81000 | <1% | 5,787 | $22K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 164 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 299 | $13K |
| 90686 | <1% | 2,196 | $12K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 990 | $10K |
| 99441 | <1% | 163 | $6K | |
| 99201 | <1% | 175 | $6K | |
| 99381 | <1% | 146 | $5K | |
| 99050 | <1% | 597 | $3K | |
| 36406 | <1% | 247 | $2K | |
| 87631 | <1% | 25 | $2K | |
| 87181 | <1% | 439 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 373 | $2K |
| 94760 | <1% | 74,687 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $1K |
| 87634 | <1% | 69 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 98 | $1K |
| 81001 | <1% | 277 | $923.41 | |
| 90710 | <1% | 595 | $900.00 | |
| 90707 | <1% | 193 | $876.20 | |
| 90715 | <1% | 241 | $603.34 | |
| 92587 | <1% | 14 | $532.14 | |
| 90734 | <1% | 214 | $188.67 | |
| 86580 | <1% | 33 | $166.54 | |
| 85018 | <1% | 66 | $132.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,228 | $119.18 |
| 90685 | <1% | 31 | $68.34 | |
| 90633 | <1% | 393 | $39.04 | |
| 99173 | <1% | 483 | $34.98 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 19 | $1.52 |
| 90461 | 0% | 495 | $0.00 | |
| 90670 | 0% | 732 | $0.00 | |
| 90700 | 0% | 118 | $0.00 | |
| 90723 | 0% | 657 | $0.00 | |
| 90698 | 0% | 37 | $0.00 | |
| 99000 | 0% | 1,470 | $0.00 | |
| 90647 | 0% | 305 | $0.00 | |
| 90696 | 0% | 163 | $0.00 | |
| 90697 | 0% | 110 | $0.00 | |
| 36416 | 0% | 56 | $0.00 | |
| 90744 | 0% | 33 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKURTZ, SETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Crown Heights Medical, P.C. | Monsey, NY | $56.63M |
| QHC Upstate Medical, P.C. | Monsey, NY | $16.63M |
| Park Avenue Pediatrics, P.C. | Spring Valley, NY | $729K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.